Roth Ear, Nose & Throat Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD052327L Issued in PA

Legal business name

ROTH EAR, NOSE & THROAT ASSOCIATES PC

Practice address

9150 Marshall St
Suite 4
Philadelphia, PA 19114-2217

Phone

(215) 676-4550

Fax

(215) 676-4711

NPI assigned

Jun 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maurice K Roth, M.D.NPI 1477512689

Title

President

Phone

(215) 676-4550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Roth, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1477512689
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1497958938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63147",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191140947",
            "telephone_number": "215-676-4550",
            "fax_number": "215-676-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-676-4550",
            "fax_number": "215-676-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH EAR, NOSE & THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-676-4550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD052327L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Edward Rostucher
• Salvi Z Rota, CRNP
• Sarah Rota, PA-C
• Lisa Marie Rotchford, LCSW
• James Rotenberg, MD
• Alan Jay Roth, O.D.
• Carol F Roth, L.C.S.W.
• Christopher Geordie Roth, M.D.
• David Roth
• Jay Edward Roth, CRNP

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.